Poggetti Andrea, Suardi Chiara, Felici Irene, Pfanner Sandra
FEBHS, Hand and Reconstructive Microsurgery Unit, AOU Careggi, Florence, Italy.
J Clin Orthop Trauma. 2025 Mar 8;65:102956. doi: 10.1016/j.jcot.2025.102956. eCollection 2025 Jun.
BACKGROUND/AIMS: Flexor digitorum profundus avulsion injuries occurs mainly in sport injuries, also known as "jersey fingers". Is important to surgically approach those lesions with correct timing. Different surgical procedures exist. Complications can occur, but there is no consensus of which type of surgical technique can be superior to others. The aim of this study was to observe three different groups affected by a Type II sec. Leddy and Packer avulsion, managed by three different methods of fixation: pull-out suture through the fingertip without passing the nail bed, bone anchor, and a combination of those. The objective was to analyse whether one of these methods was superior to the others in terms of final TAM and whether one of them was more suitable than the others for the use of the early rehabilitation protocol.
66 patients affected by FDP type II closed avulsion were surgically managed by the three different ways and the controlled active motion protocol. TAM, time of recovery and complications were addressed for each group.
The three procedures adopted were similar at the final outcome.
These data showed a comparable the strength of suture techniques used with good clinical outcomes in terms of TAM recovery after surgery.
背景/目的：指深屈肌腱撕脱伤主要发生于运动损伤，也被称为“球衣指”。在正确的时机对这些损伤进行手术治疗很重要。存在不同的手术方法。可能会出现并发症，但对于哪种手术技术优于其他技术尚无共识。本研究的目的是观察受II型Leddy和Packer撕脱伤影响的三个不同组，采用三种不同的固定方法进行处理：经指尖穿出但不穿过甲床的拔出缝线法、骨锚法以及两者结合的方法。目的是分析这些方法中的一种在最终总主动活动度（TAM）方面是否优于其他方法，以及其中一种是否比其他方法更适合早期康复方案的使用。
66例受II型闭合性指深屈肌腱撕脱伤影响的患者通过三种不同方式进行手术治疗，并采用控制主动活动方案。对每组的总主动活动度、恢复时间和并发症进行评估。
所采用的三种手术方法在最终结果上相似。
这些数据表明，就术后总主动活动度恢复而言，所使用的缝合技术强度相当，临床效果良好。
